R38 Response Accepted AI-assessed

Medical record keeping

Recommendation

Health Boards should ensure that clear, accurate and legible patient records are kept by doctors, that records are seen as integral to good patient care.

Published Evidence Summary
The following publicly available evidence relates to this recommendation:
The Scottish Government accepted this recommendation in 2015. The General Medical Council (GMC) requires doctors to maintain clear, accurate, and legible records, and the Scottish Government developed its Records Management: NHS code of practice (Scotland), updated in 2012. The Excellence in Care framework and NHS Scotland governance standards address medical record keeping requirements, with electronic health record systems being rolled out across NHS Scotland to address legibility concerns (Healthcare Improvement Scotland, 2025-01-01).
How was this assessed?
Assessed by gemini-2.5-flash on 19 Mar 2026
Checked data held on this site (government responses, progress updates, independent evidence)
External sources searched: www.gov.uk, www.gov.scot, www.legislation.gov.uk, hansard.parliament.uk
This recommendation requires implementation across many organisations. The assessment reflects central policy response, not adoption in individual organisations.
Jurisdiction
Scotland
Response
Accepted
Accepted Scottish Government
18 Jun 2015

Section 4.2 of the Scottish Government's response directly addresses recommendation 38, which relates to clear, accurate, and legible patient records kept by doctors, emphasizing their integral role in good patient care. The General Medical Council (GMC) requires doctors to maintain clear, accurate, and legible records, made at the time of events or as soon as possible. Furthermore, the Scottish Government has developed its own Records Management: NHS code of practice (Scotland), updated in 2012, to guide required standards, and is investing in eHealth systems to improve record-keeping and information sharing across NHSScotland.

Read Full Response
Published Evidence

Published assessments of implementation progress from inspectorates, select committees, official progress reports, and other sources. Check the source type badge to see whether each assessment is independent or government self-reported.

Reasonable Progress
01 Jan 2025
Healthcare Improvement Scotland Other

Excellence in Care framework and NHS Scotland governance standards address medical record keeping requirements. National standards for clinical documentation exist but specific legibility requirements have been partially overtaken by electronic health records adoption.

View detailed findings

Electronic health record systems being rolled out across NHS Scotland address legibility concerns. National standards for clinical documentation exist through multiple frameworks.

Excellence in Care framework and NHS Scotland cli… View Source
Source
Report The Vale of Leven Hospital Inquiry Report 24 Nov 2014
Responsible Bodies
NHS Health Boards (Scotland) Primary
Recommendation age 11.3 yrs
Last formal update 3932 days ago